Michael J. Sullivan III, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17866 Issued in NE

Practice address

600 N Cotner Blvd
Suite 208
Lincoln, NE 68505-2343

Phone

(402) 464-5969

Fax

(402) 464-3657

NPI assigned

Apr 5, 2006

Last updated

Nov 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Creighton University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Immunology Associates PCGroup PAC ID 4385610013, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• York General Health Care Services Hospital, York, NE, CCN 281336
• CHI Health St Mary's Hospital, Nebraska City, NE, CCN 281342

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy, Asthma & Immunology Associates, P.C.

  • Allergy & Immunology Physician
  • Lincoln, NE
  • NPI 1831151232
  Medicare reassignment Care Compare group NPD
• Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1063471860
  NPD
• Boone County Health Center

  dba Spalding Medical Clinic

  • Rural Health Clinic/Center
  • Spalding, NE
  • NPI 1497789812
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Community Hospital

  dba CHI Health St. Mary's

  • Critical Access Hospital
  • Nebraska City, NE
  • NPI 1528016995
  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1144282096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD",
            "address_2": "SUITE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "17866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47060801513",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Sullivan, M.S.W.
• Kenton R Sullivan, MD
• Lisa M Sullivan, M.D.
• Lydia Sullivan
• Mary Elizabeth Sullivan, MSW
• Nora Sue Sullivan, M.S. LIMHP
• Shelby Jo Sullivan, CRNA
• Susan Kay Sullivan
• Tahneceya Raizel Sullivan
• Timothy Joseph Sullivan, M.D.

• Specialist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.